title: A threat to the understanding of oneself: intensive care patients' experiences of dependency.
abstract: This study examines the meaning of dependency on care as experienced by intensive care patients. Literature on the subject is sparse, but research from nonintensive settings shows that dependency is often experienced negatively. The study is based on in-depth qualitative semistructured interviews with three former patients characterized as narratives. The analysis is inspired by a phenomenological hermeneutical method. The study has found that dependency is experienced as difficult and that the experience seems to be attached to the relationship to oneself. Patients feel powerless and experience shame, their understanding of self is threatened, and they fight for independence in the course after intensive care. The findings might be influenced by the study being conducted in a Western country setting, where independence is valued. They can be used as means of reflection on nursing practice and matters such as communication and patient participation.
authors.affiliation: Aalborg University Hospital, Aalborg, Denmark.
authors.forename: Kristina
authors.initials: K
authors.lastname: Lykkegaard
authors.forename: Charlotte
authors.initials: C
authors.lastname: Delmar
mesh_terms: D000328:Adult; D000368:Aged; D003422:Critical Care / Q000523:psychology*; D003858:Dependency, Psychological; D036262:Empirical Research; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D033262:Narration; D026684:Personal Autonomy; D036301:Qualitative Research; D012648:Self Care / Q000523:psychology*; D012752:Shame
keywords: Intensive care; autonomy; dependency; powerless; relation to the self; shame